EAQ exam one practice questions

Which strategy needs to be employed while interviewing the adolescent as part of the health screening? -Start with more sensitive issues -Explain the limits of confidentiality -Ask more close ended questions -Interview with the parents in the room

Explain the limits of confidentiality

Which opposing conflict with a middle-aged adult face according to Ericksons theory of psychosocial development? -Integrity versus despair -Intimacy versus isolation -Identity versus role confusion -Generativity versus self-absorption and stagnation

Generativity versus self-absorption and stagnation

Which age group with the nurse expect to experience the initiative versus guilt stage of Ericksons theory? -Toddlers -Preschoolers -Old-aged people -Middle-aged people

Preschoolers

Arrange which nursing actions are prioritized according to Maslow's hierarchy of needs -Initiating therapeutic communication to boost the client self-esteem -Collaborating with a social service department to keep the client away from abusers -Administering medication's to regulate the clients body temperature -Contact in the clients family members to help the client mend relationships

-administering medication's to regulate the clients body temperature -collaborating with the social service department to keep the client away from users -contacting the clients family to help client mend relationships -initiating therapeutic communication to boost the client self-esteem

A registered nurse is teaching a nursing student about the proper techniques of an abdominal assessment. Which order of assessment stated by the nursing student indicates effective learning? -I will inspect the service motion of the abdomen -I will assess for bowel motility by auscultation -I will note the position of the umbilicus -I will palpate to assess for any abdominal tenderness

1. I will inspect the surface motion of the abdomen 2. I will note the position of the umbilicus 3. I will assess for bowel motility by auscultation 4. I will palpate to assess for any abdominal tenderness

When the nurses auscultating a clients heart where would S1 be loudest? -Base of the heart -Apex of the heart -Left lateral border -Right lateral border

Apex of the heart

The nurse is explaining the nursing process to a student nurse. Which step of the nursing process would include interpretation of data collected about the client? -Evaluation -Assessment -Implementation -Diagnosis

Assessment

Which step in the nursing process involves a nurse interviewing a client about a current health problem and taking the clients vital signs? -Planning -Diagnosis -Assessment -Implementation

Assessment

Which physical assessment technique involves listening to the sounds of the body? -Palpation -Inspection -Percussion -Auscultation

Auscultation

Which question asked by the nurse is most appropriate to assess the nature of the clients pain? -Can you describe your pain to me -Is your pain associated with movement -Can you rate your pain on a scale of 0 to 10 -Do you notice your pain worsening with activity

Can you describe your pain to me

When assessing a client with emphysema which finding with the nurse expect? -Increased breath sounds -Atrophic accessory muscles -Shortened expiratory phase of the respiratory cycle -Chest with an increased anteroposterior (AP) diameter

Chest with an increased anteroposterior (AP) diameter

The nurse assesses the lungs of a client auscultate soft, crackling, bubbling breath sounds that are more obvious on inspiration. Which would the nurse document these sounds as? -Vesicular -Bronchial -Crackles -Rhonchi

Crackles

Which pain scale is used to measure the intensity of pain in preschoolers? -FACES scale -Visual analog scale -Numerical rating scale -Verbal descriptor scale

FACES scale

Which are the benefits of using standard formal nursing diagnostic statements? Select all that apply -Foster's development of nursing knowledge -Allows nurses to communicate with the client -Provides precise definition of the clients problem -Distinguishes the nurses role from that of other care providers -Enables the primary healthcare provider to deliver effective healthcare

Fosters development of nursing knowledge Provides precise definition of the client's problem Distinguishes the nurses role from that of other care providers

Which statement made by the nurse indicates that the clients interview is coming to a close? -I have just one more question for you -I hope you are comfortable and not in pain -I would like to spend some time to understand your concerns -I assure you that information I gather now will be confidential

I have just one more question for you

Which step in the nursing process would involve promoting a safe environment for the client? -Planning -Diagnosis -Assessment -Implementation

Implementation

According to Erickson's theory, in which stage would the nurse expect a preschooler to start to pretend? -Initiative versus guilt stage -Integrity versus despair stage -Autonomy versus a sense of shame and doubt stage -Generativity versus self-absorption and stagnation stage

Initiative versus guilt stage

When the nurse auscultated a clients lungs and hears fine, High pitched, popping sounds in the left lower lung as the client inhales, how would the findings be documented? -Vesicular sounds -Coarse rhonchi -Inspiratory crackles -Bronchial breath sounds

Inspiratory crackles

The nurse is preparing to assess the four abdominal quadrants of a client who complains of stomach pain. When will the nurse assess the symptomatic quadrant? -First -Second -Third -Last

Last

Which sleep pattern with the nurse recognize as normal in preschoolers? -Daytime naps are very common among preschoolers -On average a preschooler sleeps about 12 hours a night -Partial awakening leading to sleeplessness is common among preschoolers -About 30% of sleep time and preschooler's just spent in non rapid eye movement sleep (NREM)

On average a preschooler sleeps about 12 hours a night

The registered nurse (RN) ask a client to rate their pain on a scale from 0 to 10, then instructs the nursing students perform a physical assessment. Which steps by the nursing student would be included in a physical assessment for pain? Select all that apply -Palpating for tenderness -Observing nonverbal cues -Inspecting any areas of discomfort -Noticing if the pain is localized or radiates -Noticing if the client gives nonverbal signs of pain

Palpating for tenderness Inspecting any areas of discomfort

In which order would the nurse arrange the human needs of Maslow's hierarchy? arrange from the top priority needs the lowest priority need. -Self-actualization -Esteem -Social -Safety -Physiological

Physiological Safety social esteem self actualization

Which step of the nursing process is directly affected if the nurse does not make a nursing diagnosis? -Planning -Evaluation -Assessment -Implementation

Planning

Which are physiologic symptoms assessed in a client with sleep deprivation? Select all that apply -Ptosis and blurred vision -Agitation and hyperactivity -Confusion and disorientation -Increased sensitivity to pain -Decreased auditorial alertness

Ptosis and blurred vision Decreased auditory alertness

According to Ericksons psychosocial stages of development which activity would the nurse encourage for a 75-year-old adult? -Investing creative energy is in promoting Social welfare -Redefining a role in society that offer something of value -Recapturing those opportunities that were not experienced -Reflecting on the past achievements of the sense of satisfaction

Reflecting on pass achievements with a sense of satisfaction

When assessing the breath sounds of a client with chronic obstructive pulmonary disease (COPD), The nurse hears moist rumbling sounds that improve after the client coughs. How will the nurse document the lung sounds? -Rhonchi -Wheezes -Fine crackles -Vesicular sounds

Rhonchi

Which statement indicates effective teaching regarding the most effective measure to prevent the spread of infection? -Always wear latex gloves anytime you come into contact with the client -Cover the mouth or nose with the hand if coughing or sneezing in a client care area -Spread of infection can be stopped by proper hand-washing before and after client care -The best way to stop the spread of infection is to use sterile technique when changing dressings

Spread of infection can be stopped by proper hand-washing before and after client care

Which nursing care delivery model is used if the nurse provides care to the same client for the entire work period? -Primary -Total client care -Team -Functional

Total client care

Which stage of Ericksons theory focuses on the needs of an infant? -Trust versus mistrust -Intimacy versus isolation -Autonomy versus sense of shame and doubt -Generativity versus self absorption and stagnation

Trust versus mistrust

Arrange the stages of life in Erickson's theory of psychosocial development in the correct order -Autonomy versus a sense of shame and doubt -Industry versus inferiority -Intimacy versus isolation -Trust versus mistrust -Initiative versus guilt -Identity versus role confusion

Trust versus mistrust Autonomy versus a sense of shame and doubt Initiative versus guilt Industry versus inferiority Identity versus role confusion Intimacy versus isolation

According to quality and safe education for nurses (QSEN), which defines patient centered care? -Understanding that the client is the source of control and providing care -Functioning effectively within nurse and interprofessional teams deliver quality care -Using data to evaluate outcomes of care processes in designing methods to improve healthcare -Minimizing the risk for harm to clients in healthcare workers through improved professional performance

Understanding that the client is the source of control and providing care

While performing a physical assessment of a female client, the nurse positions the client in the left lateral recumbent position. Which body system would be assessed in this position? Select all that apply -Heart -Vagina -Rectum -Female genitalia -Musculoskeletal system

Vagina Rectum

The school nurse presented a program for teachers about infection control and hand-washing techniques. Which evaluation method is the most effective way for the nurse to evaluate the teachers' knowledge of hand-washing techniques? -Observe the teachers lecture the children about hand hygiene -Administer an objectively written final examination to the teachers -Have the teachers share their knowledge of hand-washing -Watch the teachers demonstrate infection control techniques

Watch the teachers demonstrate infection control techniques

Which nursing behavior would need to be addressed to improve contact isolation technique? -Not wearing a mask while in the clients room -Wearing gloves but no gown while changing linens -Wearing clean gloves while setting the intravenous pump -Disinfecting equipment before removing it from the room

Wearing gloves but no gown while changing linens